Moss, Andrea

Moss, Andrea is an individual health care provider with primary practice located at 2001 Florence Mattison Dr , Conway AR 72032-5940. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Moss, Andrea can be contacted via phone (501) 450-4820.

Contact Information

Primary practice address
2001 Florence Mattison Dr Conway AR 72032-5940
Phone: (501) 450-4820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#P7989 Arkansas

Profile Details

NPI number 1497941330
LBN Legal business name Moss, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Jan 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497941330 NPPES
Arkansas MEDICAID 164773721

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